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1. YOUR ORGANIZATION
Name
Address
URL
Type
If "Other" please specify:

Is this a conference?
 
2. VENUE/SCREENING LOCATION
Name:
Address:
URL
Type:
If "Other" please specify:
What is the seating capacity for
your screening location?
What is your expected audience?
 
3. NUMBER AND DATE OF SCREENING
How many screenings will you hold?
What are your screening dates?
 
4. CONTACT INFORMATION
Name
Title
Email
Phone 1
Phone 2
URL
Mailing Address
ZIP Code
State
Country
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